To: Mephisto who wrote (245 ) 9/27/2003 7:51:31 PM From: Mephisto Respond to of 3079 Dean Announcing Elder-Care Proposals story.news.yahoo.com Sat Sep 27, 2:36 PM ET By MIKE GLOVER, Associated Press Writer DES MOINES, Iowa - Howard Dean is proposing tax breaks to help pay for long-term care insurance and a national registry to weed out health workers who have abused elderly patients. In a speech promoted as a major new policy initiative, Dean also will seek flexibility for states to offer care for older Americans outside nursing homes and will push for a new investment in community and home-based care for the elderly. Dean has set no price tag set on the ideas being proposed Sunday, but he characterized the proposals as modest and stressed that he was not seeking broad new spending programs. His theme was to seek a greater focus on alternatives to caring for the aged. He has criticized his Democratic rivals for proposing broad new spending proposals and warned that they risk taking the party back to a time when many considered Democrats a tax-and-spend party. Most of the proposals amount to showing greater sensitivity for the needs of the elderly, which he said reflects compassion he showed during his 12 years as governor of Vermont. "In Vermont, we check on people receiving care at home, not an inspection but a call to see if there are problems," Dean said in his prepared remarks. "This needs to happen anywhere vulnerable seniors are receiving care at home or in the community." Dean was headed to Dubuque on Sunday to deliver his policy address to a group of about 100 people at a long-term care facility. He carefully selected older people, those with disabilities and families caring both for children and parents as his audience for his elder-care proposals. A copy of Dean's speech and policy proposals were obtained by The Associated Press. It is a crucial issue in Iowa, home of leadoff precinct caucuses Jan. 19, where the population is among the oldest in the nation. Those elderly are a political force because they vote in far higher proportions than people of other age groups.